| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $288.40 | $288.40 | |
Aetna
| Professional | $30.20 | $45.71 | $416.87 | |
Cigna
| Professional | $173.78 | $281.84 | $398.11 | |
Emblem Health
| Facility | $302.00 | $302.00 | $302.00 | |
Emblem Health
| Professional | $89.13 | $323.59 | $537.03 | |
Horizon BCBS
| Professional | $186.21 | $213.80 | $524.81 | |
United
| Professional | $52.48 | $70.79 | $109.65 |